CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Cook Childrens Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $9
  • Cash Discount Price: $565
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Cook Childrens Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $565. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.06x the Medicare baseline. Located in 801 Seventh Avenue, Fort Worth, TX.
Cash / Self-Pay
$565

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$8.46

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.46 (100%)
Cash / Self-Pay: $565 (6678%)
Insurance Median: $9 (106%)
Cash: $565 (6678% of Medicare)
Ins. Median: $9 (106% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.46 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Health Plan W. Uhrip $7 - $286 83%
Aetna $8 - $640 95%
Beacon $8 - $181 95%
El Paso Health First $8 95%
Health Plan W/O Uhrip $8 - $181 95%
Tx Children Health $8 95%
Blue Cross Blue Shield $9 - $677 106%
Firstcare $9 - $602 106%
Molina $9 106%
Rightcare $9 - $252 106%
Superior Health $9 106%
United Community $9 106%
Wellpoint $9 106%
UnitedHealthcare $331 - $640 3913%
S&W Health $632 7470%
Cigna $640 7565%
Healthscope $640 7565%
Imagine Health $640 7565%
Humana $655 - $662 7742%
Multiplan $655 7742%
First Health $662 7825%
Galaxy Health $677 8002%
Healthsmart $677 8002%
Usamco $693 8191%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 801 Seventh Avenue, Fort Worth, TX 76104
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens